Ending open defecation in rural Tanzania: which factors facilitate latrine adoption?

Diarrheal diseases account for 7% of deaths in children under five years of age in Tanzania. Improving sanitation is an essential step towards reducing these deaths. This secondary analysis examined rural Tanzanian households sanitation behaviors and attitudes in order to identify barriers and drivers to latrine adoption. The analysis was conducted using results from a cross-sectional study of 1000 households in five rural districts of Tanzania. Motivating factors, perceptions, and constraints surrounding open defecation and latrine adoption were assessed using behavioral change theory. Results showed a significant association between use of improved sanitation and satisfaction with current sanitation facility (OR: 5.91; CI: 2.95-11.85; p = 0.008). Livestock-keeping was strongly associated with practicing open defecation (OR: 0.22; CI 0.063-0.75; p < 0.001). Of the 93 total households that practiced open defecation, 79 (85%) were dissatisfied with the practice, 62 (67%) had plans to build a latrine and 17 (18%) had started saving for a latrine. Among households that planned to build a latrine, health was the primary reason stated (60%). The inability to pay for upgrading sanitation infrastructure was commonly reported among the households. Future efforts should consider methods to reduce costs and ease payments for households to upgrade sanitation infrastructure. Messages to increase demand for latrine adoption in rural Tanzania should integrate themes of privacy, safety, prestige and health. Findings indicate a need for lower cost sanitation options and financing strategies to increase household ability to adopt sanitation facilities

Business begins at home

One of the most significant trends in the post-industrial era has been for the home to become an important focus for work. The boundaries between work and home are now increasingly blurred, reversing the forces of the industrial era in which places deemed suitable for each were clearly demarcated and physically separate. The most recent published figures available from the Labour Force Survey (2005)1 indicate that 3.1m people now work mainly from home, 11% of the workforce. This represents a rise from 2.3m in 1997 (9% of the workforce), a 35% increase. The majority of homeworkers (2.4m or 77% of the total) are 'teleworkers' – people who use computers and telecommunications to work at home. The number of teleworkers has increased by 1.5m between 1997 and 2005, a 166% increase. Clearly, it is the growth in the number of teleworkers which is driving the increase in homeworking

Restricted access : women's business ownership in profile

This report presents a profile of women-owned businesses in the United Kingdom. The data is drawn from a survey undertaken by the University of Strathclyde for the Federation of Small Businesses (FSB), published in May 2002. In total, 18,561 FSB members responded to the survey, of whom 1,750 (9%) stated that their business was wholly female-owned. In comparison, nearly 44% of respondents stated that their business was wholly male-owned and 42% that their business was owned jointly by men and women. Women-owned businesses are an important element of the SME sector and, as this profile shows, the characteristics of their businesses are rather different to the majority

The power of the interviewer

African censuses and surveys remain dependent on interviewers for data collection with data quality assured through training and supervision. Many survey concepts and definitions are difficult to translate into African languages and some, such as the household, may have multiple criteria (sleeping, eating together and recognising an authority) which may not be fulfilled by everyone leading interviewers to prioritise different criteria. Some questions introduce unfamiliar ideas which may require considerable explanation by interviewers in order to obtain acceptable answers. Using published definitions, enumerator manuals and qualitative interview data with interviewers, supervisors, trainers, survey organisers and analysts in Tanzania, Uganda, Senegal and Burkina, we identify key areas where interviewer judgement plays a significant role in determining who is included or excluded from household surveys, or in shaping responses to certain questions. Interviewers take their responsibilities seriously but their preconceptions and interpretations have consequences for data reliability and harmonisation goals

Association of Cytomegalovirus DNA and Immunologic Markers of Cardiovascular Disease.

BackgroundPersons living with human immunodeficiency virus (HIV) (PLWH) with high cytomegalovirus (CMV)-specific interferon (IFN) γ response have increased numbers of endothelium homing receptor (CX3CR1)+-expressing cells that are associated with cardiovascular disease. The current study was performed to investigate the effect of cellular levels of CMV DNA on these markers.MethodsEighty paired peripheral blood mononuclear cell samples were collected ≥12 months apart from 40 CMV-seropositive PLWH with suppressed HIV RNA, who started antiretroviral therapy at median of 3-months of infection. The samples were assessed for CMV-specific IFN-γ response by means of enzyme-linked immunospot assay, and participants were classified as low responders (LRs) or high responders (HRs) based on IFN-γ production (≤100 or >100 spot-forming units [SFUs]/105 cells).ResultsOf the 40 participants, 26 (65%) were HRs and 14 (35%) LRs at baseline, which did not change over time or by CMV levels (median at first/second time points, 383/308 SFUs/106 cells for HRs vs 21/41 SFUs/106 for LRs). A decrease in IFN-γ over time was associated with higher CMV DNA levels (P < .01). High CMV response was also associated with increased CD28+CD27-CD4+ T cells expressing CX3CR1 (P < .001). Similarly, increased IFN-γ production was associated with increased CMV-specific CX3CR1+CD28+CD27-CD4+ and CD8+ T cells (P < .001).ConclusionsThese findings demonstrate that levels of CMV-specific IFN-γ response in PLWH are stable over time, and that HRs have increased circulating T cells expressing CX3CR1 that may put them at increased risk of cardiovascular disease and other inflammatory diseases

All Sky Survey Mission Observing Scenario Strategy

This paper develops a general observing strategy for missions performing all-sky surveys, where a single spacecraft maps the celestial sphere subject to realistic constraints. The strategy is flexible such that targeted observations and variable coverage requirements can be achieved. This paper focuses on missions operating in Low Earth Orbit, where the thermal and stray-light constraints due to the Sun, Earth, and Moon result in interacting and dynamic constraints. The approach is applicable to broader mission classes, such as those that operate in different orbits or that survey the Earth. First, the instrument and spacecraft configuration is optimized to enable visibility of the targeted observations throughout the year. Second, a constraint-based high-level strategy is presented for scheduling throughout the year subject to a simplified subset of the constraints. Third, a heuristic-based scheduling algorithm is developed to assign the all-sky observations over short planning horizons. The constraint-based approach guarantees solution feasibility. The approach is applied to the proposed SPHEREx mission, which includes coverage of the North and South Celestial Poles, Galactic plane, and a uniform coverage all-sky survey, and the ability to achieve science requirements demonstrated and visualized. Visualizations demonstrate the how the all-sky survey achieves its objectives

The observation of photon echoes from evanescently coupled rare-earth ions in a planar waveguide

We report the measurement of the inhomogeneous linewidth, homogeneous linewidth and spin state lifetime of Pr3+ ions in a novel waveguide architecture. The TeO2 slab waveguide deposited on a bulk Pr3+:Y2SiO5 crystal allows the 3H4 - 1D2 transition of Pr3+ ions to be probed by the optical evanescent field that extends into the substrate. The 2 GHz inhomogeneous linewidth, the optical coherence time of 70 +- 5 us, and the spin state lifetime of 9.8 +- 0.3 s indicate that the properties of ions interacting with the waveguide mode are consistent with those of bulk ions. This result establishes the foundation for large, integrated and high performance rare-earth-ion quantum systems based on a waveguide platform.Comment: 5 pages, 5 figure

A Roadmap to Health Insurance for All: Principles for Reform

Presents principles for health insurance reform and compares the potential of three approaches -- tax incentives for the individual insurance market; mixed private-public group insurance with shared financing responsibility; and public insurance